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أعرض في EDS

Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists.

التفاصيل البيبلوغرافية
العنوان: Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists.
المؤلفون: Oglesby FC; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Scholefield BR; Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK., Cook TM; Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.; School of Medicine, University of Bristol, Bristol, UK., Smith JH; Department of Anaesthesia, Great Ormond Street Hospital, London, UK., Pappachan VJ; Department of Paediatric Anaesthesia and Intensive Care Medicine, University Hospital Southampton NHS Trust, Southampton, UK.; National Institute for Health and Care Research Biomedical Research Centre, University of Southampton, Southampton, UK., Kane AD; Department of Anaesthesia, James Cook University Hospital, South Tees NHS Foundation Trust, Middlesbrough, UK.; Hull York Medical School, Hull, UK., Armstrong RA; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Kursumovic E; Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK., Soar J; Department of Anaesthesia and Intensive Care Medicine, Southmead Hospital, Bristol, UK.
المصدر: Anaesthesia [Anaesthesia] 2024 Jun; Vol. 79 (6), pp. 583-592. Date of Electronic Publication: 2024 Feb 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 0370524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2044 (Electronic) Linking ISSN: 00032409 NLM ISO Abbreviation: Anaesthesia Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: London, Academic Press; New York, Grune & Stratton.
مواضيع طبية MeSH: Heart Arrest*/epidemiology , Medical Audit*, Humans ; Child ; Infant ; Infant, Newborn ; United Kingdom/epidemiology ; Child, Preschool ; Postoperative Complications/epidemiology ; Anesthesia/adverse effects ; Perioperative Care/methods ; Adolescent
مستخلص: The 7th National Audit Project of the Royal College of Anaesthetists studied peri-operative cardiac arrest. An activity survey estimated UK paediatric anaesthesia annual caseload as 390,000 cases, 14% of the UK total. Paediatric peri-operative cardiac arrests accounted for 104 (12%) reports giving an incidence of 3 in 10,000 anaesthetics (95%CI 2.2-3.3 per 10,000). The incidence of peri-operative cardiac arrest was highest in neonates (27, 26%), infants (36, 35%) and children with congenital heart disease (44, 42%) and most reports were from tertiary centres (88, 85%). Frequent precipitants of cardiac arrest in non-cardiac surgery included: severe hypoxaemia (20, 22%); bradycardia (10, 11%); and major haemorrhage (9, 8%). Cardiac tamponade and isolated severe hypotension featured prominently as causes of cardiac arrest in children undergoing cardiac surgery or cardiological procedures. Themes identified at review included: inappropriate choices and doses of anaesthetic drugs for intravenous induction; bradycardias associated with high concentrations of volatile anaesthetic agent or airway manipulation; use of atropine in the place of adrenaline; and inadequate monitoring. Overall quality of care was judged by the panel to be good in 64 (62%) cases, which compares favourably with adults (371, 52%). The study provides insight into paediatric anaesthetic practice, complications and peri-operative cardiac arrest.
(© 2024 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.)
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معلومات مُعتمدة: Royal College of Anaesthetists
فهرسة مساهمة: Keywords: NAP7; anaesthesia; cardiac arrest; paediatric
تواريخ الأحداث: Date Created: 20240218 Date Completed: 20240510 Latest Revision: 20240510
رمز التحديث: 20240510
DOI: 10.1111/anae.16251
PMID: 38369586
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2044
DOI:10.1111/anae.16251